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Adopting Medicare Fee Schedules

Author: Barbara O. Wynn

Publisher: Minnesota Historical Society

Published: 2003

Total Pages: 194

ISBN-13: 9780833034762

In response to rapidly increasing medical costs in the California workers' compensation program, the California Commission on Health and Safety and Workers' Compensation is recommending that the current fee schedule that determines the amount health care providers are paid be linked to Medicare fee schedules. This study examines issues arising from the differences between the two types of fee schedules, modifications that may be needed to tailor the Medicare fee schedules to California's injured workers, and the implications of automatic annual updates to the schedules.

Medical Fee Schedule

Author:

Publisher:

Published: 1995

Total Pages: 262

ISBN-13:

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Proposed Medicare Physician Fee Schedule

Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment

Publisher:

Published: 1991

Total Pages: 318

ISBN-13:

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Medicare Laboratory Payment Policy

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2000-12-04

Total Pages: 261

ISBN-13: 0309183618

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Clinical laboratory tests play an integral role in helping physicians diagnose and treat patients. New developments in laboratory technology offer the prospect of improvements in diagnosis and care, but will place an increased burden on the payment system. Medicare, the federal program providing coverage of health-care services for the elderly and disabled, is the largest payer of clinical laboratory services. Originally designed in the early 1980s, Medicare's payment policy methodology for outpatient laboratory services has not evolved to take into account technology, market, and regulatory changes, and is now outdated. This report examines the current Medicare payment methodology for outpatient clinical laboratory services in the context of environmental and technological trends, evaluates payment policy alternatives, and makes recommendations to improve the system.